EROC 2017

Please submit only one form per league (unless you are registering more than 5 skaters or more than 2 officials).

After applying for EROC 2017, you will receive an e-mail confirming your application.

Important Information: After applying for EROC 2017, you will receive an e-mail confirming your application. This confirmation will also provide you with all the crucial information such as the ones regarding payment. Please notice, that this confirmation will be send to you within a week after applying.

Please provide an email address of the person who will serve as the contact for the league

This is a required question

Telephone
*

Please provide a telephone number of the person who will serve as the contact for the league

This is a required question

Attendees

Skater 1: Real name

This is a required question

Skater 1: Derby name

This is a required question

Attendee 1 participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Skater 2: Real name

This is a required question

Skater 2: Derby name

This is a required question

Skater 2 participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Skater 3: Real name

This is a required question

Skater 3: Derby name

This is a required question

Attendee 3 participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Skater 4: Real name

This is a required question

Skater 4: Derby name

This is a required question

Skater 4: participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Skater 5: Real name

This is a required question

Skater 5: Derby name

This is a required question

Skater 5: participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Official 1: Real name

This is a required question

Official 1: Derby name

This is a required question

Official 1: participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Official 2: Real name

This is a required question

Official 2: Derby name

This is a required question

Official 2: participates in:

Sessions addressed to leagues (Sa-Sun).

This is a required question

Fees

EARLY BIRD: until 4th December 2016:
* Each slot (Thursday-Friday and Saturday-Sunday) is 85 euros per attendee.
* If one person attends all four days the amount is 170 euros.
STANDARD: 5. Dec 2016 - 2. Jan 2016
* Each slot (Thursday-Friday and Saturday-Sunday) is 95 euros per attendee.
* If one person attends all four days the amount is 190 euros.
LAST MINUTE: 3. Jan 2017–25. Jan 2017
* Each slot (Thursday-Friday and Saturday-Sunday) is 105 euros per attendee.
* If one person attends all four days the amount is 210 euros.
Please make only one payment for the whole league.
If you are unsure how much to pay:
1. Please register so we know how many of you are coming
2. Send an email with your question to eroc@bearcityrollerderby.com
3. We will calculate/double check the exact sum you have to pay.

Payment options

Please pay via PayPal to
paypal@bearcityrollerderby.com
or via bank transfer to
Bear City Roller Derby e.V.
IBAN: DE30100500000190555238
BIC: BELADEBEXXX
Berliner Sparkasse
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Please state “EROC 2017 <name of your league>” on the transfer.
Payments should be made in EURO and without charges to the beneficiary.
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REFUNDS
Bear City Roller Derby should be notified of cancellations in writing.
If the Conference Office receives cancellations before January 15, 2017, the total conference fee will be refunded. Cancellations after this date an "No shows“ are non-refundable and are liable for the full registration.
Please note that refunds will only be made after the conference.

Waiver

ASSUMPTION OF INJURY RISKS
There is a risk of injuries, both serious and minor, associated with participation in roller derby. The risks include, but are not limited to: injury to the head, neck, or spine (including paralysis); injury to the muscular or skeletal systems; injury to internal or external organs; loss of or damage to sight, hearing, or teeth; long or short-term disability.
IT IS THE RESPONSIBILITY OF EACH INDIVIDUAL PARTICIPANT to have health insurance coverage sufficient to provide for medical or dental services and/or equipment required to treat any injury, minor or catastrophic, sustained or incurred as a result of participating in any trianing and scrimmage.
Therefore, AS A PRECONDITION TO BEING GRANTED PERMISSION TO PARTICIPATE IN TRAINING AND SCRIMMAGE, EACH PARTICIPANT shall read the agreement set forth below in order to make an educated choice to participate or not participate.
To that end, and before releasing Bear City Roller Derby and Sport Club Lurich 02 e.V. from all actions, claims, or demands related to any injury you may sustain as a result of participating in EROC 2017. please give serious consideration to the possible ramifications. Understand that the causes of possible injury are many, but among them are: injury from bodily contact, incidental to or inherent in the nature of the sport; slipping, falling, or tripping on the playing surface, regardless of its physical or environmental conditions; injury from warming up; injury due to supervision by referees or officials, or injury due to a disparity between and among other players or teams with respect to experience level, strength, height, weight, age, ability, and the relative competitiveness or maturity of, between, or among other participants.
FAILURE TO COMPLETE THIS FORM WILL RENDER AN INDIVIDUAL INELIGABLE TO PARTICIPATE.
I have read the above ASSUMPTION OF INJURY RISKS and understand its contents. I acknowledge the risk of injury that may result from participation in the bootcamp trainings and scrimmage and am willing to and hereby do voluntarily assume all risks of harm associated with my participation.
I certify that to the best of my knowledge, I am physically fit and able to participate in the the bootcamp trainings and Scrimmage, that I am in good health, and that I am unaware of any medical condition, which might make my participation inadvisable.
In consideration of Bear City Roller Derby and Sport Club Lurich 02 e.V. permitting me to participate in EROC 2017, I knowingly and intentionally give up any legal right that I, my heirs, or legal representatives have or may have against Bear City Roller Derby and Sport Club Lurich 02 e.V, its trustees, officers, agents, employees, or insurers, from any action, claim, or demand that I, my heirs, or my legal representatives have or may have for any and all personal injuries I may suffer or sustain, regardless of cause or fault, on- or off-the track, as a result of my voluntary participation and/or in other activities related thereto.

Please check to confirm
*

I hereby confirm, that I have read, understood and accept the above waiver.

This is a required question

Please check to confirm
*

By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the full conference fee. I have taken notice of the cancellation terms on this form.